Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8807988 | Revista Española de Patología | 2018 | 6 Pages |
Abstract
A 30 year old male presented with a cutaneous lesion on the distal area of the 5Â th toe with involvement of the outer edges. Macroscopically, it was a 1Â cm violaceous and keratotic lesion. Radiography showed an increase in soft tissue, possibly due to a vascular lesion. MRI showed a hyper-intense signal with erosion of the distal phalanx compatible with a low-flow vascular malformation. The distal phalanx was amputated. Histopathology revealed a lesion formed by venous and D2-40 positive lymphatic vessels. This case highlights the fact that even minimal skin involvement in vascular malformations may conceal an important deeper lesion, such as erosion of the cortical bone.
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Authors
Ana Teijo, Felipe Sacristán, Jesús del Pozo, Tania Pérez, Laura López, Ana Reguera, Pilar Casteleiro, Ángeles Vázquez-Barro, Ángel Concha,